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Haematometrocolpos and acute pelvic pain associated with cyclic uterine bleeding: OHVIRA syndrome
  1. Mayank Aranke,
  2. Kim Long Nguyen,
  3. Richard D Wagner,
  4. Robert P Kauffman
  1. Department of OB-GYN, School of Medicine, Texas Tech University Health Sciences Center, Amarillo, Texas, USA
  1. Correspondence to Dr Robert P Kauffman, robert.kauffman{at}


Obstructed hemivagina and ipsilateral renal agenesis syndrome is a complex urogenital malformation usually presenting with obstructed menses and pelvic pain during female adolescence. The diagnosis can be established preoperatively with relative certainty by MRI or ultrasonography, and outcomes are usually satisfactory following surgical resection of the septal portion of the obstructed hemivagina. Such cases are best managed in referral centres with expertise in anatomical disorders of the female genital tract.

  • obstetrics, gynaecology and fertility
  • healthcare improvement and patient safety
  • reproductive medicine

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  • Contributors RPK performed the preoperative evaluation and imaging, performed the surgery, obtained consent and assisted with manuscript preparation. MA, KLN and RDW assisted in the patient care, manuscript preparation and background research.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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